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[成人罕见的溶血性尿毒症综合征]

[Unusual hemolytic-uremic syndrome in an adult].

作者信息

Bercault N, Touquet S, Martin P, Pierre D, Maitre F, Gueveler C

机构信息

Service de réanimation polyvalente, C.H.R. d'Orléans La Source.

出版信息

Rev Med Interne. 1990 Mar-Apr;11(2):161-2. doi: 10.1016/s0248-8663(05)82220-9.

Abstract

A 44-year old woman presented with haemolytic-uraemic syndrome due to predominantly arteriolar microangiopathy, with anuria lasting 48 days. The semeiology in this case was unusual: there was no anaemia and only rare schizocytes on admission, blood pressure was normal and anuria was prolonged. The severity of arteriolar thrombosis observed at renal biopsy stood in sharp contrast with the lack of arterial hypertension and the almost total recovery of renal function within three months.

摘要

一名44岁女性因主要为小动脉微血管病而出现溶血尿毒综合征,无尿持续48天。该病例的症状学不寻常:入院时无贫血且仅有罕见的裂细胞,血压正常且无尿期延长。肾活检时观察到的小动脉血栓形成的严重程度与缺乏动脉高血压以及三个月内肾功能几乎完全恢复形成鲜明对比。

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